| NPI | 1689061707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME146292) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 296157) |
| 207R00000X Internal Medicine (Licence: GA 82122) | |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2020-07-07 |